Urinary early kidney injury molecules in children with beta-thalassemia major
      
Yazarlar (10)
Velat Sen
Dicle University, Faculty Of Medicine, Türkiye
Aydin Ece
Dicle University, Faculty Of Medicine, Türkiye
Unal Uluca
Dicle University, Faculty Of Medicine, Türkiye
Murat Soker
Dicle University, Faculty Of Medicine, Türkiye
Prof. Dr. Ali GÜNEŞ Dicle University, Faculty Of Medicine, Türkiye
Ibrahim Kaplan
Dicle University, Faculty Of Medicine, Türkiye
Ilhan Tan
Dicle University, Faculty Of Medicine, Türkiye
Servet Yel
Dicle University, Faculty Of Medicine, Türkiye
Nuriye Mete
Dicle University, Faculty Of Medicine, Türkiye
Cahit Sahin
Dicle University, Faculty Of Medicine, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Renal Failure (Q4)
Dergi ISSN 0886-022X Wos Dergi Scopus Dergi
Makale Dili İngilizce Basım Tarihi 05-2015
Cilt / Sayı / Sayfa 37 / 4 / 607–613 DOI 10.3109/0886022X.2015.1007871
Özet
Background: The aim of this study was to investigate novel urinary biomarkers including N-acetyl-beta-D-glucosaminidase (NAG), neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), and liver-type fatty acid binding protein (L-FABP) in children with beta-thalassemia major (beta-TM). Materials and methods: Totally, 52 patients (29 boys, 23 girls) with beta-TM and 29 healthy controls (3-17 years) were included. Various demographic characteristics and blood transfusions/year, disease duration, and chelation therapy were recorded. Serum urea, creatinine, electrolytes, and ferritin and urinary creatinine, protein, calcium, phosphorus, sodium, potassium, and uric acid in first morning urine samples were measured and estimated glomerular filtration rate (eGFR) was calculated. Routine serum and urinary biochemical variables, urinary NAG to Creatinine (U-NAG/Cr), U-NGAL/Cr, UKIM-1/Cr, and UL-FABP/Cr ratios were determined. Results: Patients had similar mean serum urea, creatinine and eGFR levels compared with controls (p > 0.05 for all). The mean urinary protein to creatinine (U-Protein/Cr) ratio was significantly higher in patients compared to the healthy subjects (0.13 +/- 0.09 mg/mg and 0.07 +/- 0.04 mg/mg, respectively; p < 0.001). Significantly increased U-NAG/Cr (0.48 +/- 0.58 vs. 0.23 +/- 0.16, p = 0.026) and U-NGAL/Cr (22.1 +/- 18.5 vs. 11.5 +/- 6.17, p = 0.01) ratios were found in beta-TM patients compared with healthy controls. However, no differences were found in serum and urinary electrolytes or UKIM-1/Cr and UL-FABP/Cr ratios between patients and controls (p > 0.05). Significant correlations were found between urinary biomarkers and urinary electrolytes (p < 0.05). Conclusions: Our results suggest that urinary NAG and NGAL may be considered to be reliable markers to monitor renal injury in beta-TM patients.
Anahtar Kelimeler
Early molecule | FABP | kidney injury | KIM-1 | NAG | NGAL | Thalassemia